| Northeast Alabama Homecare Llc | |
|
4171 Al Highway 71 Dutton AL 35744-8547 | |
| (256) 630-0218 | |
| Not Available |
| Full Name | Northeast Alabama Homecare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4171 Al Highway 71, Dutton, Alabama |
| Authorized Official Name and Position | Amanda Law Foshee (OWNER) |
| Authorized Official Contact | 2568339001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Alabama Homecare Llc Po Box 252 Dutton AL 35744-0252 Ph: () - | Northeast Alabama Homecare Llc 4171 Al Highway 71 Dutton AL 35744-8547 Ph: (256) 630-0218 |
| NPI Number | 1669136081 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 1254722739 |
|---|---|
| Medicare Enrollment ID | O20211216000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669136081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda L Foshee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487945309 PECOS PAC ID: 5597082347 Enrollment ID: I20150421001610 |
Highlands Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7655 Alabama Hwy 71, Dutton, AL 35744 Phone: 256-657-2025 Fax: 256-657-2028 |